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Individual

AVANI SHETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1431 N WESTERN AVE, SUITE 406, CHICAGO, IL 60622-1797
(312) 633-5841
(312) 491-5020
Mailing address
1431 N WESTERN AVE STE 401, CHICAGO, IL 60622-7712
(312) 633-5841
(312) 491-5485

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
249068
NY
207Q00000X
Family Medicine Physician
Primary
4301500556
MI
207Q00000X
Family Medicine Physician
MD60257660
WA
207QA0401X
Addiction Medicine (Family Medicine) Physician
036136479
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036136479
IL
Enumeration date
06/19/2008
Last updated
03/24/2026
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